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喉膨出:印度东部一家三级护理医院的经验

Laryngocele: Experience at a Tertiary Care Hospital of Eastern India.

作者信息

Swain Santosh Kumar, Chandra Mallik Krishna, Mishra Satyajit, Chandra Sahu Mahesh

机构信息

Department of ENT, IMS & SUM Hospital, Siksha "O" Anusandhan University, Kalinga Nagar, Bhubaneswar, Odisha, India.

Department of ENT, SCB Medical College, Cuttuck, Odisha, India.

出版信息

J Voice. 2015 Jul;29(4):512-6. doi: 10.1016/j.jvoice.2014.09.013. Epub 2015 Feb 19.

Abstract

OBJECTIVES

To study the details of clinical profile and management of laryngocele at a tertiary care teaching hospital of eastern India.

STUDY DESIGN

A prospective study. Case series of six patients of laryngocele.

METHODS

Six patients of laryngocele were examined at the Outpatient Department of ENT of Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Odisha, India, between August 2010 and January 2014. The details of the patients, such as age, gender, occupations, clinical presentations, imaging modalities and treatment options, are discussed.

RESULTS

The common clinical presentations of laryngocele are hoarseness of voice and swelling in the neck. Sometimes, laryngocele patients are asymptomatic. The patients were in the range of 45-70 years old, among them five were males and one was female. The diagnosis was made clinically and radiologically. Among the six patients, five were treated by surgical approach.

CONCLUSIONS

Laryngocele is an abnormal dilatation of the laryngeal saccule. It is a very rare clinical condition. Hoarseness of voice and swelling in the neck are common clinical presentations in laryngocele. Imaging studies are essential for making diagnosis, determining the type, localization, extent of laryngocele and for treatment. Surgery is the treatment of choice in laryngocele.

摘要

目的

在印度东部的一家三级护理教学医院研究喉膨出的临床特征及治疗细节。

研究设计

一项前瞻性研究。六例喉膨出患者的病例系列。

方法

2010年8月至2014年1月期间,在印度奥里萨邦布巴内斯瓦尔市医学科学研究所及SUM医院的耳鼻喉科门诊对六例喉膨出患者进行了检查。讨论了患者的详细信息,如年龄、性别、职业、临床表现、影像学检查方法及治疗选择。

结果

喉膨出的常见临床表现为声音嘶哑和颈部肿胀。有时,喉膨出患者无症状。患者年龄在45 - 70岁之间,其中五例为男性,一例为女性。通过临床及影像学检查做出诊断。六例患者中,五例采用手术治疗。

结论

喉膨出是喉囊的异常扩张。这是一种非常罕见的临床病症。声音嘶哑和颈部肿胀是喉膨出的常见临床表现。影像学检查对于做出诊断、确定喉膨出的类型、定位、范围及治疗至关重要。手术是喉膨出的首选治疗方法。

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